Natta F, Gioanetti N R, Zanon C, Alluminio P, Ballario F
Divisione di Chirurgia Generale, Regione Piemonte-USSL 39, Presidio Ospedaliero Chivasso TO.
Minerva Ginecol. 1993 Oct;45(10):507-10.
Accidental iatrogenic injuries of ureters and bladder in patients with abdominal and pelvic pathology are described as a possible lesion of a surgical or gynaecologic treatment. The ureteral lesion is less frequent in obstetric surgery, but the young age of the patients and the gravity of the consequences, impose a very serious problem for a early diagnosis with a conservative surgical treatment. On the contrary, this important injury, bears an important surgical management with possible functional damage of the reno-urinary tract. The Authors report the experience about the observation and treatment of a case of a young woman, 29 years old, who had a uretero-uterine fistula, after a cesarean section for the first pregnancy.
腹部和盆腔病变患者输尿管和膀胱的医源性意外伤害被描述为手术或妇科治疗可能造成的损伤。输尿管损伤在产科手术中较少见,但患者年龄较轻且后果严重,给早期诊断和保守手术治疗带来了非常严重的问题。相反,这种严重损伤需要重要的手术处理,可能会对泌尿系统造成功能性损害。作者报告了一名29岁年轻女性的观察和治疗经验,该患者在首次剖宫产术后出现输尿管子宫瘘。